standardizing the paul michael, md, fscai · failed fem-pop hx of infected groin ... zero contrast...
TRANSCRIPT
![Page 1: STANDARDIZING THE Paul Michael, MD, FSCAI · Failed Fem-Pop Hx of Infected Groin ... ZERO CONTRAST LAB Paul Michael, MD, FSCAI Medical Director JFK Wound Management & Limb Preservation](https://reader034.vdocuments.us/reader034/viewer/2022051919/600bd6c976d4f829f8045673/html5/thumbnails/1.jpg)
STANDARDIZING THE ZERO CONTRAST LAB
Paul Michael, MD, FSCAIMedical Director
JFK Wound Management & Limb Preservation Center
President, CMO
Palm Beach Heart & Vascular
Palm Beach, Florida, USA
![Page 2: STANDARDIZING THE Paul Michael, MD, FSCAI · Failed Fem-Pop Hx of Infected Groin ... ZERO CONTRAST LAB Paul Michael, MD, FSCAI Medical Director JFK Wound Management & Limb Preservation](https://reader034.vdocuments.us/reader034/viewer/2022051919/600bd6c976d4f829f8045673/html5/thumbnails/2.jpg)
Disclosure
.................................................................................
-I have the following potential conflicts of interest to report:
X Consulting: Boston Scientific, Abbott, Medtronic, Asahi
-Over 95% of my practice is CLI
-Over 85% of my cases involve tissue loss (RC-V&VI)
-I practice CLI Therapy and Amputation Prevention 7 Days/Week
-I perform over 600 CLI Cases/Year
-I follow my patients with a Team in a
Multidisciplinary Wound Management Center
![Page 3: STANDARDIZING THE Paul Michael, MD, FSCAI · Failed Fem-Pop Hx of Infected Groin ... ZERO CONTRAST LAB Paul Michael, MD, FSCAI Medical Director JFK Wound Management & Limb Preservation](https://reader034.vdocuments.us/reader034/viewer/2022051919/600bd6c976d4f829f8045673/html5/thumbnails/3.jpg)
FLUORO
EVUS IVUS CO2
ADVANCED
![Page 4: STANDARDIZING THE Paul Michael, MD, FSCAI · Failed Fem-Pop Hx of Infected Groin ... ZERO CONTRAST LAB Paul Michael, MD, FSCAI Medical Director JFK Wound Management & Limb Preservation](https://reader034.vdocuments.us/reader034/viewer/2022051919/600bd6c976d4f829f8045673/html5/thumbnails/4.jpg)
![Page 5: STANDARDIZING THE Paul Michael, MD, FSCAI · Failed Fem-Pop Hx of Infected Groin ... ZERO CONTRAST LAB Paul Michael, MD, FSCAI Medical Director JFK Wound Management & Limb Preservation](https://reader034.vdocuments.us/reader034/viewer/2022051919/600bd6c976d4f829f8045673/html5/thumbnails/5.jpg)
![Page 6: STANDARDIZING THE Paul Michael, MD, FSCAI · Failed Fem-Pop Hx of Infected Groin ... ZERO CONTRAST LAB Paul Michael, MD, FSCAI Medical Director JFK Wound Management & Limb Preservation](https://reader034.vdocuments.us/reader034/viewer/2022051919/600bd6c976d4f829f8045673/html5/thumbnails/6.jpg)
![Page 7: STANDARDIZING THE Paul Michael, MD, FSCAI · Failed Fem-Pop Hx of Infected Groin ... ZERO CONTRAST LAB Paul Michael, MD, FSCAI Medical Director JFK Wound Management & Limb Preservation](https://reader034.vdocuments.us/reader034/viewer/2022051919/600bd6c976d4f829f8045673/html5/thumbnails/7.jpg)
61y/o M , Truck Driver
DM-II, CAD, CHF
Failed Fem-Pop
Hx of Infected Groin
RC-V PAD
![Page 8: STANDARDIZING THE Paul Michael, MD, FSCAI · Failed Fem-Pop Hx of Infected Groin ... ZERO CONTRAST LAB Paul Michael, MD, FSCAI Medical Director JFK Wound Management & Limb Preservation](https://reader034.vdocuments.us/reader034/viewer/2022051919/600bd6c976d4f829f8045673/html5/thumbnails/8.jpg)
![Page 9: STANDARDIZING THE Paul Michael, MD, FSCAI · Failed Fem-Pop Hx of Infected Groin ... ZERO CONTRAST LAB Paul Michael, MD, FSCAI Medical Director JFK Wound Management & Limb Preservation](https://reader034.vdocuments.us/reader034/viewer/2022051919/600bd6c976d4f829f8045673/html5/thumbnails/9.jpg)
![Page 10: STANDARDIZING THE Paul Michael, MD, FSCAI · Failed Fem-Pop Hx of Infected Groin ... ZERO CONTRAST LAB Paul Michael, MD, FSCAI Medical Director JFK Wound Management & Limb Preservation](https://reader034.vdocuments.us/reader034/viewer/2022051919/600bd6c976d4f829f8045673/html5/thumbnails/10.jpg)
![Page 11: STANDARDIZING THE Paul Michael, MD, FSCAI · Failed Fem-Pop Hx of Infected Groin ... ZERO CONTRAST LAB Paul Michael, MD, FSCAI Medical Director JFK Wound Management & Limb Preservation](https://reader034.vdocuments.us/reader034/viewer/2022051919/600bd6c976d4f829f8045673/html5/thumbnails/11.jpg)
![Page 12: STANDARDIZING THE Paul Michael, MD, FSCAI · Failed Fem-Pop Hx of Infected Groin ... ZERO CONTRAST LAB Paul Michael, MD, FSCAI Medical Director JFK Wound Management & Limb Preservation](https://reader034.vdocuments.us/reader034/viewer/2022051919/600bd6c976d4f829f8045673/html5/thumbnails/12.jpg)
![Page 13: STANDARDIZING THE Paul Michael, MD, FSCAI · Failed Fem-Pop Hx of Infected Groin ... ZERO CONTRAST LAB Paul Michael, MD, FSCAI Medical Director JFK Wound Management & Limb Preservation](https://reader034.vdocuments.us/reader034/viewer/2022051919/600bd6c976d4f829f8045673/html5/thumbnails/13.jpg)
![Page 14: STANDARDIZING THE Paul Michael, MD, FSCAI · Failed Fem-Pop Hx of Infected Groin ... ZERO CONTRAST LAB Paul Michael, MD, FSCAI Medical Director JFK Wound Management & Limb Preservation](https://reader034.vdocuments.us/reader034/viewer/2022051919/600bd6c976d4f829f8045673/html5/thumbnails/14.jpg)
![Page 15: STANDARDIZING THE Paul Michael, MD, FSCAI · Failed Fem-Pop Hx of Infected Groin ... ZERO CONTRAST LAB Paul Michael, MD, FSCAI Medical Director JFK Wound Management & Limb Preservation](https://reader034.vdocuments.us/reader034/viewer/2022051919/600bd6c976d4f829f8045673/html5/thumbnails/15.jpg)
![Page 16: STANDARDIZING THE Paul Michael, MD, FSCAI · Failed Fem-Pop Hx of Infected Groin ... ZERO CONTRAST LAB Paul Michael, MD, FSCAI Medical Director JFK Wound Management & Limb Preservation](https://reader034.vdocuments.us/reader034/viewer/2022051919/600bd6c976d4f829f8045673/html5/thumbnails/16.jpg)
![Page 17: STANDARDIZING THE Paul Michael, MD, FSCAI · Failed Fem-Pop Hx of Infected Groin ... ZERO CONTRAST LAB Paul Michael, MD, FSCAI Medical Director JFK Wound Management & Limb Preservation](https://reader034.vdocuments.us/reader034/viewer/2022051919/600bd6c976d4f829f8045673/html5/thumbnails/17.jpg)
![Page 18: STANDARDIZING THE Paul Michael, MD, FSCAI · Failed Fem-Pop Hx of Infected Groin ... ZERO CONTRAST LAB Paul Michael, MD, FSCAI Medical Director JFK Wound Management & Limb Preservation](https://reader034.vdocuments.us/reader034/viewer/2022051919/600bd6c976d4f829f8045673/html5/thumbnails/18.jpg)
![Page 19: STANDARDIZING THE Paul Michael, MD, FSCAI · Failed Fem-Pop Hx of Infected Groin ... ZERO CONTRAST LAB Paul Michael, MD, FSCAI Medical Director JFK Wound Management & Limb Preservation](https://reader034.vdocuments.us/reader034/viewer/2022051919/600bd6c976d4f829f8045673/html5/thumbnails/19.jpg)
![Page 20: STANDARDIZING THE Paul Michael, MD, FSCAI · Failed Fem-Pop Hx of Infected Groin ... ZERO CONTRAST LAB Paul Michael, MD, FSCAI Medical Director JFK Wound Management & Limb Preservation](https://reader034.vdocuments.us/reader034/viewer/2022051919/600bd6c976d4f829f8045673/html5/thumbnails/20.jpg)
Zero Contrast is for ABCDE
• Access: EVUS,
• Backup: Wiring, Catheters, Sheaths
• Crossing: IVUS, EVUS, CO2
• Delivery: PTA, Ath, Stenting, CO2
• Exit: Image Guided Closure/Hemostasis
![Page 21: STANDARDIZING THE Paul Michael, MD, FSCAI · Failed Fem-Pop Hx of Infected Groin ... ZERO CONTRAST LAB Paul Michael, MD, FSCAI Medical Director JFK Wound Management & Limb Preservation](https://reader034.vdocuments.us/reader034/viewer/2022051919/600bd6c976d4f829f8045673/html5/thumbnails/21.jpg)
![Page 22: STANDARDIZING THE Paul Michael, MD, FSCAI · Failed Fem-Pop Hx of Infected Groin ... ZERO CONTRAST LAB Paul Michael, MD, FSCAI Medical Director JFK Wound Management & Limb Preservation](https://reader034.vdocuments.us/reader034/viewer/2022051919/600bd6c976d4f829f8045673/html5/thumbnails/22.jpg)
STANDARDIZING THE ZERO CONTRAST LAB
Paul Michael, MD, FSCAIMedical Director
JFK Wound Management & Limb Preservation Center
President, CMO
Palm Beach Heart & Vascular
Palm Beach, Florida, USA